CMS Price Transparency Data

MRI, lower back (no contrast)

Facility: Mercy Hospital Logan County

Billing Code: 72148 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72148
Insurance Median: $2,175
Cash Discount Price: $2,408
vs. Medicare Baseline: 8.92x Medicare

The contracted insurance negotiated median rate for a MRI, lower back (no contrast) at Mercy Hospital Logan County is $2,175. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,408. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 8.92x the Medicare baseline. Located in 200 S Academy Rd, Guthrie, OK.

Cash / Self-Pay

$2,408

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,175

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$243.77

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $243.77 (100%)

Cash / Self-Pay: $2,408 (988%)

Insurance Median: $2,175 (892%)

Cash: $2,408 (988% of Medicare)

Ins. Median: $2,175 (892% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $243.77 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 892% of the Medicare baseline (a markup of 792%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Aetna	$106 - $2,175	43%
Humana	$106 - $945	43%
Medicaid / KanCare	$106 - $1,112	43%
Health Choice Contracted [320166]	$665	273%
Tricare	$919	377%
Blue Cross Blue Shield	$945 - $1,778	388%
Cherokee Nation Health Serv Contracted [320066]	$945	388%
Cross Timbers Hospice [20098]	$945	388%
Dept Of Veteran Affairs Contracted [320106]	$945	388%
Elara Caring Aspire Hospice Contracted [320433]	$945	388%
Elara Caring Aspire Hospice [20433]	$945	388%
Halo Hcr Inc Hospice Contracted [320432]	$945	388%
Halo Hcr Inc Hospice [20432]	$945	388%
Independent Health [20197]	$945	388%
Indian Health Service Contracted [320198]	$945	388%
Kindful Hospice Contracted [320434]	$945	388%
Kindful Hospice [20434]	$945	388%
Medical Associates Health [20444]	$945	388%
Medicare (plans)	$945 - $1,852	388%
Mercy Hospice Okc [20252]	$945	388%
Provider Partners Health Plans Contracted [320450]	$945	388%
Qual Choice Contracted [320325]	$945	388%
Tribute Health Plan Mcr Contracted [320338]	$945	388%
UnitedHealthcare	$945 - $2,594	388%
Globalhealth Contracted [320145]	$964	395%
Cigna	$974 - $3,149	400%
Ambetter / Centene	$1,112	456%
Home State Health Plan Contracted [320187]	$1,112	456%
Novasys Contracted [320285]	$1,112	456%
Webtpa Contracted [320417]	$1,556	638%
Medica Contracted [320239]	$1,852	760%
Community Care Contracted [320080]	$1,886	774%
Aither Health Contracted [320449]	$2,223 - $3,149	912%
Auxiant Contracted [320462]	$2,223 - $3,149	912%
Federal Medical Center Contracted [320127]	$2,223	912%
Healthlink Contracted [320179]	$2,223 - $3,149	912%
Healthscope Contracted [320182]	$2,223	912%
Mercy Benefit Admin Contracted [320251]	$2,223 - $3,149	912%
Point C Contracted [320238]	$2,223	912%
Preferred Health Plan Contracted [320522]	$2,223	912%
Quik Trip Contracted [320447]	$2,223	912%
Show-Me Health Administrators Contracted [320483]	$2,223	912%
United Medical Resources Contracted [320454]	$2,223 - $2,594	912%
Osma Health Contracted [320292]	$2,594	1064%
United Behavioral Health Contracted [320390]	$2,594	1064%
Benefit Management Contracted [320052]	$2,779 - $3,334	1140%
Globalhealth Contracted [320144]	$2,779	1140%
Healthcare Highways Plus Contracted [320175]	$2,779	1140%
Private Health Care Systems Contracted [320320]	$2,779 - $2,964	1140%
First Health Contracted [320128]	$2,897	1188%
Multiplan Contracted [320270]	$2,964 - $3,334	1216%
Ebms Contracted [320493]	$3,149	1292%
Imagine 360 Contracted [320494]	$3,149	1292%
Preferred Community Choice Contracted [320311]	$3,149	1292%
Reflect Health Contracted [320492]	$3,149	1292%
Yuzu Health Contracted [320521]	$3,149	1292%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $2,408.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 72148.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Mercy Hospital Logan County is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 72148.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.